Alpha Delta Kappa
Texas Beta Lambda
Longview, Texas
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FORMS
Go to the Texas Alpha Delta Kappa site at
http://www.texas.alphadeltakappa.org/formsdownloadpage.htm
for the following forms.
Chapter of Distinction Form
Texas Mary Elizabeth Taliaferro Scholarship Program
Texas Mini-M.E.T. Scholarship Application
Website Inclusion Permission Form
Master Crafter Award
Individual Altruistic Report for Year_________
Name___________________________________
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|
Mar. |
Apr. |
May |
June |
July |
Aug. |
Sept. |
Oct. |
Nov. |
Dec. |
Jan. |
Feb. |
Total |
|
SERVICE HOURS |
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Hospitals, Shelters, Nursing Homes |
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Schools, libraries |
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f |
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Drives, Centers |
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Other |
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|
|
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|
|
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|
State Altruistic Project |
|
|
|
|
|
|
|
|
|
|
|
|
|
MONETARY GIFTS
|
Hospitals, Shelters, Nursing Homes |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
|
Schools, Libraries |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
|
Drives, Centers |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
|
Other |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
|
Altruistic Fund |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
|
State Altruistic Project |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
|
NON -MONETARY GIFTS |
|||||||||||||
|
Hospitals, Shelters, Nursing Homes |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
|
Schools, Libraries |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
|
Drives, Centers |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
|
Other |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
|
State Altruistic Project |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
$ |
E-mail Charlotte Jackson
